Do they describe confusion, aggression, acting oddly, muscle weakness or collapses?
Neuroglycopaenia may manifest itself in many ways. Typical ‘funny turns’ may not be experienced, and some patients present with altered behaviour, aggression, or a personality change. Others may describe altered consciousness, transient neurological signs or fits, which may need to be investigated on their own merits. For this reason, rigorous neurological assessment for possible epilepsy or cerebrovascular disease will have been conducted before the diagnosis is considered.